Individual
JOSEPH ALFRED ENFONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-3264
Mailing address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-3264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8471355
ID
Other
Enumeration date
12/11/2020
Last updated
07/03/2025
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